Provider Demographics
NPI:1972045250
Name:ALPHA DENTAL ZANESVILLE - MING YU DDS LLC
Entity Type:Organization
Organization Name:ALPHA DENTAL ZANESVILLE - MING YU DDS LLC
Other - Org Name:ALPHA DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTAILING
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-357-9771
Mailing Address - Street 1:740 PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1876
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:740 PRINCETON AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1876
Practice Address - Country:US
Practice Address - Phone:216-357-9771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty